Search Results
Working Paper
Rising Geographic Disparities in US Mortality
The 21st century has been a period of rising inequality in both income and health. In this study, we find that geographic inequality in mortality for midlife Americans increased by about 70 percent from 1992 to 2016. This was not simply because states such as New York or California benefited from having a high fraction of college-educated residents who enjoyed the largest health gains during the last several decades. Nor was higher dispersion in mortality caused entirely by the increasing importance of “deaths of despair,” or by rising spatial income inequality during the same period. ...
Working Paper
Technology adoption and mortality
We develop a quantitative theory of mortality trends and population dynamics. In our theory, individuals incur time and/or goods costs over their life cycle, to adopt a better health technology that increases their age-specific survival probability. Technology adoption is a source of a dynamic externality: As more individuals adopt the better technology, the marginal benefit of future adoption increases. The allocation of time and/or goods also depends on total factor productivity (TFP): As TFP grows, more resources are allocated to technology adoption. Both channels---the dynamic externality ...
Journal Article
Mortality and Economic Growth
Countries with higher economic growth had, on average, higher growth in their crude death rates.
Working Paper
Technology adoption, mortality, and population dynamics
We develop a quantitative theory of mortality and population dynamics. We emphasize individuals' decisions to reduce their mortality by adopting better health technology. Adoption becomes cheaper as more individuals use better technology. It also confers a dynamic externality by increasing the future number of individuals who use the better technology. Our model generates a diffusion curve whose shape dictates the pace of mortality reduction. The model explains historical trends in mortality rates and life expectancies at various ages and population dynamics in Western Europe. Unlike ...
Working Paper
Technology Adoption, Mortality, and Population Dynamics
We develop a quantitative theory of mortality and population dynamics. We emphasize individuals' decisions to reduce their mortality by adopting better health technology. Adoption becomes cheaper as more individuals use better technology. It also confers a dynamic externality by increasing the future number of individuals who use the better technology. Our model generates a diffusion curve whose shape dictates the pace of mortality reduction. The model explains historical trends in mortality rates and life expectancies at various ages and population dynamics in Western Europe. Unlike ...
Working Paper
Technology Adoption, Mortality, and Population Dynamics
We develop a quantitative theory of mortality and population dynamics. We emphasize individuals' decisions to reduce their mortality by adopting better health technology. Adoption confers a dynamic externality: Adoption becomes cheaper as more individuals use better technology. Our model generates a diffusion curve, whose shape dictates the pace of mortality reduction. The model explains historical trends in mortality rates and life expectancies at various ages, and population in Western Europe. Unlike Malthusian theories based solely on income, ours is consistent with the observed disconnect ...
Working Paper
Social Security Reform with Heterogeneous Mortality
Using a heterogeneous-agent, life-cycle model of Social Security claiming, labor supply and saving, we consider the implications of lifespan inequality for Social Security reform. Quantitative experiments show that welfare is maximized when baseline benefits are independent of lifetime earnings, the payroll tax cap is kept roughly unchanged, and claiming adjustments are reduced. Eliminating the earnings test and the income taxation of Social Security benefits provides additional gains. The Social Security system that would maximize welfare in a "2050 demographics" scenario, characterized by ...
Working Paper
Technology adoption, mortality and population dynamics
We develop a quantitative theory of mortality trends and population dynamics. Our theory emphasizes individual choices on costly adoption of healthy technologies and diffusion of knowledge about infections as a key channel for reducing mortality. Our theory is consistent with three observations on mortality: (i) The cross-country correlation between levels of mortality and income is negative; (ii) mortality in poor countries has converged to that of rich countries despite no convergence in income; and (iii) economic growth is not a prerequisite for mortality to decline. We calibrate our model ...
Working Paper
Killer Debt: The Impact of Debt on Mortality
This study analyzes the effect of individual finances (specifically creditworthiness and severely delinquent debt) on mortality risk. A large (approximately 170,000 individuals) subsample of a quarterly panel data set of individual credit reports is utilized in an instrumental variables design. The possibility of the reverse causality of bad health causing debt and death is removed by instrumenting for individual finances post 2011 using the exposure to the housing crisis based on their 2005 residence. Worsening creditworthiness and increases in severely delinquent debt are found to lead to ...